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Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514

Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514

Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514

Details: Topic 3

In a fast-paced and complex healthcare setting, change is constant and inevitable. Thus, the advanced practice nurse needs to lead and also conform to the constant altering environment even as they work with a multidisciplinary team or teams. Imagine that your director has assigned you to work with a certain multidisciplinary team that is helping with transition from the present paper-based system to the more modern electronic health record.

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Formulate a PowerPoint presentation encompassing between 10-15 slides in which you are going to examine the situation and the steps that should be employed in order to successfully execute the change. Also, ensure that your PowerPoint slides have 1—250 word speaker notes per slide in order to give them weight. Your presentation should have the following points:

  • Describe the driving forces that relate to the need for implementing electronic health records.
  • Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
  • Outline how you would initiate the change and be a change advocate. Utilizing change theory and innovative models of care, explain how you would provide a structure for the planned change to achieve successful implementation of the EHR.
  • Demonstrate how the change will affect current workflows. What revised workflow would you implement?
  • Identify resources (human, time, material, etc.) required for implementation.
  • Identify risks within the implementation plan. What are the impacts of the poor planning on cost, quality, and safety?
  • Identify potential barriers when implementing the change and discuss how you will handle resistance.

Integrate 3-5 scholarly sources into your presentation.

Prepare this assignment ON Implementing Change With an Interprofessional Approach Presentation according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment ON Implementing Change With an Interprofessional Approach Presentation to LopesWrite.

Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514

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Description – Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514

Week 3

Health care is constantly evolving. Effective leaders embrace change and motivate others to be change agents. As discussed in this week’s reading, successful leaders have vision, communicate the vision effectively and lead from there. They inspire change that others want to be a part of. Four commonly used strategies for implementing change are:

  1. Telling and Directing: The most common approach, this assumes that people are guided by reason. We know this is not always true. People are guided by beliefs and emotions, especially around change and uncertainty. This approach is not effective in situations requiring significant change, so when telling doesn’t work managers often resort to forcing change.
  2. Forcing: Here power and authority is exerted to manipulate others to change or accept change. Using position, authority and/or performance discussions to bring about change usually evokes anger, passive resistance, subtle sabotage and damage to relationships. If there is fear and anger present in your culture, there may be forcing occurring.
  3. Participating: A collaborative and participative approach to change welcoming input, inquiry and dialog. The emphasis is communication and win-win situations. It can actually work however it only works if leadership really wants to collaborate and is not just trying to manipulate people into being engaged in the change (if not it’s just forcing in disguise). People can easily become cynical if leadership is not truly open, transparent and willing to let go of control.
  4. Alternative | Engaging through Vision: Leading change by creating and articulating a clear and compelling vision, potential or possibility is a strategy that works, but is not often used. This is also called the transformational strategy model in organizational change models.

Change management as an approach to transitioning individuals, teams, and organizations to a desired future state. There a several popular change management models that can be used to help institutions implement change. One model, the ADKAR Model is a 5-step process that starts with awareness of the need to change; the need for the change (the why) is clearly explained. Once the individual is convinced that change is needed, he or she can make a person decision to participate the change. After the change is implemented reinforcement is required to sustain the change.

This week’s assignment: Implementing Change with Interprofessional Approach Presentation

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10‐15‐slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.

  1. Describe the background of the situation, including the rationale for and goal(s) of the change.
  2. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
  3. Discuss an appropriate change theory or model that could be used to achieve results.
  4. Outline how you would initiate the change.
  5. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.

Make sure to include slide notes of 100‐250 words for each slide. You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion

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PowerPoint reminders: Slides should only contain bullets with minimal wording. Slide notes are not placed on the slide they are placed below the slide where it states “click to add notes”. The notes are for the presenter not the audience.

    • Use bullets to separate out ideas.
    • Try to follow the 6 X 6 rule.
    • Limit to 6 bullets per slide.
    • Limit to 6 words per bullet.

Too much slide information causes confusion.

The audience may become distracted.

The Student Success Center is a great resource. review how to prepare a Power Point presentation.

Let love be without hypocrisy Abhor what is evil; cling to what is good. Be devoted to one another in brotherly love; give preference to one another in honor.

Romans 12: 9-10

NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions

  1. Describe a scenario in which there was a conflict between nurses working in your current or previous work environment. What was the primary cause of the conflict? What conflict resolution strategies would you employ to manage this conflict and promote civility in the workplace and why?
  2. Compare and contrast servant leadership with another leadership style or theory such as transformational leadership. What are the primary characteristics of each? What appeals to you about them and what strengths and drawbacks do you see with each in terms of influencing organizational culture as a nurse leader? Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514.
  3. Discuss organizational factors that can drive the change within a health care organization. Also, discuss the ethical, social, legal, economic, or political implication of the change within an organization and on the profession of nursing. Integrate a specific example of organizational change you have witnessed in your response.
  4. You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee?
  5. Imagine you are working in an outpatient specialty office. Your nursing director has informed you that due to “accountable care” your office might be penalized by having too many diabetic patients that are above the hemoglobin A1C (HBA1C) goal of 8. The national benchmark is that only 20% of your population should be above 8 and your office shows 40%. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Your physicians have also been informed by their management of the same issue.

Develop a plan using enhanced communications with patients to reach the benchmark goal. What might you do if you had the resources to accomplish this? You should consider all the technology you might be able to use such as a patient portal, wireless home monitor, texting, and secure messaging for example. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

  1. What challenges do current reimbursement models pose for nurse leaders in their obligations to promote quality, cost effective patient What strategies can effective nurse leaders use to overcome those challenges? Discuss any specific examples you may have witnessed a leader implement in the practice environment in your response.
  2. Review the Graduate QSEN Competencies. Focusing on the areas of Quality Improvement (QI), Safety, and Informatics, summarize the essential knowledge, skills and attitudes that an advanced registered nurse should possess to competently promote the use of health care data and information to improve care in the clinical setting. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Discuss two specific ways information and technology can improve clinical practice, administration, education, or research in your response.
  3. Discuss a key event in the evolution of nursing informatics and the characteristics of nursing informatics as a specialty. In what ways do the roles of informatics nurses and nurse leaders intersect?
  4. What are the primary challenges related to interoperability and the exchange of health information in the practice environment and how might these impact patients’ access to the best care? Assignment: Implementing Change With an Interprofessional Approach Presentation NURS 514. Discuss a particular challenge with clinical provide order entry (CPOE) in your response.
  5. Discuss the benefits and drawback of clinical decision support systems, including the challenges of avoiding alert fatigue. Considering your interactions with patients and systems in the clinical environment, what best practices related to human factors and user-centered design would you recommend to designers of such systems?
  6. Discuss an example of a personal health, mobile heath, or telehealth-related application that you think can improve patient care. What are some of the primary challenges with integrating data from a mobile device or application with data within an EHR? Do you think most patients are comfortable with sharing their personal data in the clinical environment? Supposing the sharing of such information is beneficial for their health, what can be done to help patients overcome their reticence?
  7. Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Discuss possible consequences for compromising patient data and measures you can implement in your own practice to protect patient privacy and confidentiality. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.
  8. What quality standards or performance measures guide your role or specialty as an advanced registered nurse? Using these standards, discuss how informatics can be used to improve quality of care. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions. Make sure to discuss meaningful use and incorporate the topic materials, such as the American Health Information Management Association (AHIMA) and Information Governance websites in your response.
  9. There are several project management methodologies available to nurse leaders for supporting the implementation of quality and performance improvement initiatives in the practice environment. Two well-known ones are Lean and Six Sigma. Compare and contrast two project management methodologies you think are promising in the health care environment. Discuss their relative benefits and drawbacks and discuss why you think they can be successful for implementing quality improvement initiatives. NUR-514: Organizational Leadership and Informatics Essay Assignment Discussions.

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Implementing Change With an Interprofessional Approach Presentation Rubrics

1
Unsatisfactory
0.00% 2
Less than Satisfactory
80.00% 3
Satisfactory
88.00% 4
Good
92.00% 5
Excellent
100.00%
100.0 %Conte
5.0 %Driving Forces of EHRS A description of the driving forces that related to need for implementing EHRs is not included. A description of the driving forces that related to need for implementing EHRs is incomplete or incorrect. A description of the driving forces that related to need for implementing EHRs is included, but lacks supporting detail. A description of the driving forces that related to need for implementing EHRs is completed and includes supporting detail. A description of the driving forces that related to need for implementing EHRs is extremely thorough and includes substantial details.

5.0 %Key Interprofessional Stakeholders Identification of the key interprofessional stakeholders is not included. Identification of the key interprofessional stakeholders is incomplete or incorrect. Identification of the key interprofessional stakeholders is included, but lacks supporting detail. Identification of the key interprofessional stakeholders is completed and includes supporting detail. Identification of the key interprofessional stakeholders is extremely thorough and includes substantial details

10.0 %Change Initiative and Being a Change Advocate An outline of how change would be initiated is not included. An outline of how change would be initiated is incomplete or incorrect. An outline of how change would be initiated is included, but lacks supporting detail. An outline of how change would be initiated is completed and includes supporting detail. An outline of how change would be initiated is extremely thorough and includes substantial details.

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5.0 %Impact of the Change on Current Workflows A description of how the change will affect current workflows is not included. A description of how the change will affect current workflows is incomplete or incorrect. A description of how the change will affect current workflows is included, but lacks supporting detail. A description of how the change will affect current workflows is completed and includes supporting detail. A description of how the change will affect current workflows is extremely thorough and includes substantial details.

5.0 %Required Resources for Implementation Identification of required resources for implementation is not included Identification of required resources for implementation is incomplete or incorrect. Identification of required resources for implementation is included, but lacks supporting detail. Identification of required resources for implementation is completed and includes supporting detail. Identification of required resources for implementation is extremely thorough and includes substantial details.

5.0 %Risks Within Implementation A description of potential risks within the implementation plan is not included. A description of potential risks within the implementation plan is incomplete or incorrect. A description of potential risks within the implementation plan is included but lacks supporting detail. A description of potential risks within the implementation plan is completed and includes supporting detail. A description of potential risks within the implementation plan is extremely thorough and includes substantial details.

5.0 %Potential Barriers A description of potential barriers when implementing the change and handling resistance is not included. A description of potential barriers when implementing the change and handling resistance is incomplete or incorrect. A description of potential barriers when implementing the change and handling resistance is included, but lacks supporting detail. A description of potential barriers when implementing the change and handling resistance is completed and includes supporting detail. A description of potential barriers when implementing the change and handling resistance is extremely thorough and includes substantial details.

30.0 %Presentation of Content The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information. The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources. The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

10.0 %Layout The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

10.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.) Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. Language is appropriate to the targeted audience for the most part. The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Slide errors are pervasive enough that they impede communication of meaning. Frequent and repetitive mechanical errors distract the reader. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Slides are largely free of mechanical errors, although a few may be present. Writer is clearly in control of standard, written, academic English.

5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

100 %Total Weightage

NUR-514 Course Objectives

Description:

In this course, the learner will:

  1. Explore various health care system and organizational relationships (e.g., stakeholders, economic, financial, political, ethical issues, organizational structure, and delivery of care, including mission/vision/philosophy and values).
  2. Discuss professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.
  3. Discuss change management theories and strategies and the ethical, social, legal, economic, and political implications of practice change on nursing practice decisions.
  4. Analyze the impact of health care policy on health care organizations and cost-effective quality care.
  5. Evaluate strategies for managing human, fiscal, and health care resources in the design of cost-effective, innovative models of care delivery or practice change proposals.
  6. Explore current and emerging patient care, information system, and communication technologies that can deliver and enhance safe, high quality, cost-effective patient care and health outcomes.
  7. Examine the implications of health care informatics and the role of the advanced registered nursing specialties leader on performance measures and standards related to quality.
  8. Discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
  9. Evaluate legal (HIPAA), ethical, reimbursement, emerging technologies, and interprofessional issues related to informatics and information systems.

LopesWrite

Description:

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

APA Writing Style

Description:

APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the in the Student Success Center.

You may want to consider purchasing a copy of the APA style guide as this will be a useful resource throughout your program

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